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The ‘unified airway’: the RCPCH care pathway for children with asthma and/or rhinitis

Aims The Royal College of Paediatrics and Child Health (RCPCH) Science and Research Department was commissioned by the Department of Health to develop national care pathways for children with allergies: the asthma/rhinitis care pathway is the third such pathway. Asthma and rhinitis have been conside... Full description

Journal Title: Archives of disease in childhood 2011-11, Vol.96 (Suppl 2), p.i10-i14
Main Author: Vance, Gillian
Other Authors: Lloyd, Kate , Scadding, Glenis , Walker, Samantha , Jewkes, Fiona , Williams, Lynette , Dixon, Lisa , O'Beirne, Claire , Fletcher, Penny , Brown, Trevor , Hughes, Jenny , Sohi, Dalbir , Piddock, Cher , Shields, Michael , McKean, Michael , Warner, John
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: England: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
ID: ISSN: 0003-9888
Link: https://www.ncbi.nlm.nih.gov/pubmed/22053060
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title: The ‘unified airway’: the RCPCH care pathway for children with asthma and/or rhinitis
format: Article
creator:
  • Vance, Gillian
  • Lloyd, Kate
  • Scadding, Glenis
  • Walker, Samantha
  • Jewkes, Fiona
  • Williams, Lynette
  • Dixon, Lisa
  • O'Beirne, Claire
  • Fletcher, Penny
  • Brown, Trevor
  • Hughes, Jenny
  • Sohi, Dalbir
  • Piddock, Cher
  • Shields, Michael
  • McKean, Michael
  • Warner, John
subjects:
  • Abridged Index Medicus
  • Acute Disease
  • Adolescent
  • Asthma - therapy
  • Child
  • Child, Preschool
  • Critical Pathways - organization & administration
  • Delivery of Health Care, Integrated - organization & administration
  • Evidence-Based Medicine - methods
  • Humans
  • Infant
  • Infant, Newborn
  • Professional-Patient Relations
  • Rhinitis - therapy
  • Severity of Illness Index
  • Societies, Medical
  • United Kingdom
ispartof: Archives of disease in childhood, 2011-11, Vol.96 (Suppl 2), p.i10-i14
description: Aims The Royal College of Paediatrics and Child Health (RCPCH) Science and Research Department was commissioned by the Department of Health to develop national care pathways for children with allergies: the asthma/rhinitis care pathway is the third such pathway. Asthma and rhinitis have been considered together. These conditions co-exist commonly, have remarkably similar immuno-pathology and an integrated management approach benefits symptom control. Method The asthma/rhinitis pathway was developed by a multidisciplinary working group and was based on a comprehensive review of evidence. The pathway was reviewed by a broad group of stakeholders including the public and was approved by the Allergy Care Pathways Project Board and the RCPCH Clinical Standards Committee. Results The pathway entry points are defined by symptom type and severity at presentation. Acute severe rhinitis and life-threatening asthma are presented as distinct entry routes to the pathway, recognising that initial care of these conditions requires presentation-specific treatments. However, the pathway emphasises that ideal long term care should take account of both conditions in order to achieve maximal improvements in disease control and quality of life. Conclusions The pathway recommends that acute presentations of asthma and/or rhinitis should be treated separately. Where both conditions exist, ongoing management should address the upper and lower airways. The authors recommend that this pathway is implemented locally by a multidisciplinary team (MDT) with a focus on creating networks. The MDT within these networks should work with patients to develop and agree on care plans that are age and culturally appropriate.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0003-9888
fulltext: fulltext
issn:
  • 0003-9888
  • 1468-2044
url: Link


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titleThe ‘unified airway’: the RCPCH care pathway for children with asthma and/or rhinitis
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creatorVance, Gillian ; Lloyd, Kate ; Scadding, Glenis ; Walker, Samantha ; Jewkes, Fiona ; Williams, Lynette ; Dixon, Lisa ; O'Beirne, Claire ; Fletcher, Penny ; Brown, Trevor ; Hughes, Jenny ; Sohi, Dalbir ; Piddock, Cher ; Shields, Michael ; McKean, Michael ; Warner, John
creatorcontribVance, Gillian ; Lloyd, Kate ; Scadding, Glenis ; Walker, Samantha ; Jewkes, Fiona ; Williams, Lynette ; Dixon, Lisa ; O'Beirne, Claire ; Fletcher, Penny ; Brown, Trevor ; Hughes, Jenny ; Sohi, Dalbir ; Piddock, Cher ; Shields, Michael ; McKean, Michael ; Warner, John ; Science and Research Department, Royal College of Paediatrics and Child Health ; on behalf of the Science and Research Department, Royal College of Paediatrics and Child Health
descriptionAims The Royal College of Paediatrics and Child Health (RCPCH) Science and Research Department was commissioned by the Department of Health to develop national care pathways for children with allergies: the asthma/rhinitis care pathway is the third such pathway. Asthma and rhinitis have been considered together. These conditions co-exist commonly, have remarkably similar immuno-pathology and an integrated management approach benefits symptom control. Method The asthma/rhinitis pathway was developed by a multidisciplinary working group and was based on a comprehensive review of evidence. The pathway was reviewed by a broad group of stakeholders including the public and was approved by the Allergy Care Pathways Project Board and the RCPCH Clinical Standards Committee. Results The pathway entry points are defined by symptom type and severity at presentation. Acute severe rhinitis and life-threatening asthma are presented as distinct entry routes to the pathway, recognising that initial care of these conditions requires presentation-specific treatments. However, the pathway emphasises that ideal long term care should take account of both conditions in order to achieve maximal improvements in disease control and quality of life. Conclusions The pathway recommends that acute presentations of asthma and/or rhinitis should be treated separately. Where both conditions exist, ongoing management should address the upper and lower airways. The authors recommend that this pathway is implemented locally by a multidisciplinary team (MDT) with a focus on creating networks. The MDT within these networks should work with patients to develop and agree on care plans that are age and culturally appropriate.
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subjectAbridged Index Medicus ; Acute Disease ; Adolescent ; Asthma - therapy ; Child ; Child, Preschool ; Critical Pathways - organization & administration ; Delivery of Health Care, Integrated - organization & administration ; Evidence-Based Medicine - methods ; Humans ; Infant ; Infant, Newborn ; Professional-Patient Relations ; Rhinitis - therapy ; Severity of Illness Index ; Societies, Medical ; United Kingdom
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descriptionAims The Royal College of Paediatrics and Child Health (RCPCH) Science and Research Department was commissioned by the Department of Health to develop national care pathways for children with allergies: the asthma/rhinitis care pathway is the third such pathway. Asthma and rhinitis have been considered together. These conditions co-exist commonly, have remarkably similar immuno-pathology and an integrated management approach benefits symptom control. Method The asthma/rhinitis pathway was developed by a multidisciplinary working group and was based on a comprehensive review of evidence. The pathway was reviewed by a broad group of stakeholders including the public and was approved by the Allergy Care Pathways Project Board and the RCPCH Clinical Standards Committee. Results The pathway entry points are defined by symptom type and severity at presentation. Acute severe rhinitis and life-threatening asthma are presented as distinct entry routes to the pathway, recognising that initial care of these conditions requires presentation-specific treatments. However, the pathway emphasises that ideal long term care should take account of both conditions in order to achieve maximal improvements in disease control and quality of life. Conclusions The pathway recommends that acute presentations of asthma and/or rhinitis should be treated separately. Where both conditions exist, ongoing management should address the upper and lower airways. The authors recommend that this pathway is implemented locally by a multidisciplinary team (MDT) with a focus on creating networks. The MDT within these networks should work with patients to develop and agree on care plans that are age and culturally appropriate.
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titleThe ‘unified airway’: the RCPCH care pathway for children with asthma and/or rhinitis
authorVance, Gillian ; Lloyd, Kate ; Scadding, Glenis ; Walker, Samantha ; Jewkes, Fiona ; Williams, Lynette ; Dixon, Lisa ; O'Beirne, Claire ; Fletcher, Penny ; Brown, Trevor ; Hughes, Jenny ; Sohi, Dalbir ; Piddock, Cher ; Shields, Michael ; McKean, Michael ; Warner, John
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3Asthma - therapy
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5Child, Preschool
6Critical Pathways - organization & administration
7Delivery of Health Care, Integrated - organization & administration
8Evidence-Based Medicine - methods
9Humans
10Infant
11Infant, Newborn
12Professional-Patient Relations
13Rhinitis - therapy
14Severity of Illness Index
15Societies, Medical
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abstractAims The Royal College of Paediatrics and Child Health (RCPCH) Science and Research Department was commissioned by the Department of Health to develop national care pathways for children with allergies: the asthma/rhinitis care pathway is the third such pathway. Asthma and rhinitis have been considered together. These conditions co-exist commonly, have remarkably similar immuno-pathology and an integrated management approach benefits symptom control. Method The asthma/rhinitis pathway was developed by a multidisciplinary working group and was based on a comprehensive review of evidence. The pathway was reviewed by a broad group of stakeholders including the public and was approved by the Allergy Care Pathways Project Board and the RCPCH Clinical Standards Committee. Results The pathway entry points are defined by symptom type and severity at presentation. Acute severe rhinitis and life-threatening asthma are presented as distinct entry routes to the pathway, recognising that initial care of these conditions requires presentation-specific treatments. However, the pathway emphasises that ideal long term care should take account of both conditions in order to achieve maximal improvements in disease control and quality of life. Conclusions The pathway recommends that acute presentations of asthma and/or rhinitis should be treated separately. Where both conditions exist, ongoing management should address the upper and lower airways. The authors recommend that this pathway is implemented locally by a multidisciplinary team (MDT) with a focus on creating networks. The MDT within these networks should work with patients to develop and agree on care plans that are age and culturally appropriate.
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pmid22053060
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